Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.35 / $46.35 / $77.72	Facility		$46.35	$46.35	$77.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.51 / $66.61 / $248.35	Professional		$43.51	$66.61	$248.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.35 / $46.23 / $77.44	Facility		$13.35	$46.23	$77.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.76 / $89.60 / $131.66	Professional		$53.76	$89.60	$131.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.79 / $86.39 / $116.84	Professional		$57.79	$86.39	$116.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $32.34 / $117.70	Professional		$13.25	$32.34	$117.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.11 / $96.51 / $122.90	Facility		$52.11	$96.51	$122.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.79 / $86.39 / $134.22	Professional		$57.79	$86.39	$134.22
United Facility/Professional Facility Modifier Low / Median / High Price $775.00 / $1,327.00 / $1,327.00	Facility		$775.00	$1,327.00	$1,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $68.97 / $101.00 / $142.99	Professional		$68.97	$101.00	$142.99